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what are the cranial bones
- occipital - lower back of skull
- parietal - upper back side of skull
- frontal - front of skull
- temporal - directly above the ear
- ethmoid -
- sphenoid - anterior to the temporal bone
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cranial sutures =
- lambdoid - seperates parittal bone from occipital bone
- coronal - across top of skull laterally
- sagittal - top to back midline
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what are the nasolabial folds
the creases running from nose to corner of mouth
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what are the palpebral fissures
seperation between upper and lower eyelids
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name the lymphatic of head and neck
- preauricular - in front of ear
- posterior auricular - behind the ear on mastoid process
- occipital - on back of head
- tonsilur - below ear along jaw line
- submandibular - below mandible
- submental - underneath tongue
- superficial cervical - before sterno.. muscle
- posterior cervical - behind sterno... muscle
- deep cervical - underneath sterno ...muscle
- supraclavicular - above clavical at base of sternocleidomastoid muscle
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when examining lymph nodes you want to note
- site
- size
- consistency
- tenderness
- mobility
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hard lymph nodes suggest
carcinoma
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soft lymph nodes suggest
normal
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enlarged rubber nodes may be due to
lymphoma
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tenderness in lymph nodes implies
- infection or acute inflammation
- lack of tenderness is related to malignancy
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nodes that are fixed to underlying structures are more likely to be
carcinoma
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where is thyroid located
above suprasternal notch and below the larynx
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to palpate the thyroid you do what
- tilt head slightly forward
- displace trachea toward ones die and palpate on opposite side as pt swallows water
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pagets disease of bone =
results on misshappen bones
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acromegaly
too much growth hormone = extended growth = very large features of face and hands
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solitary nodule on thyroid =
increases risk for malignancy
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multiple nodules on thryoid =
- indicate inflammation
- or multi-nodule goiter
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Pilar cyst =
- smooth firm swelling on scalp
- benigm growth
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cushings syndrome characteristics =
- moon like face
- prominent jowels
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parkinsons face =
- flat and expressionless
- elevated eyebrows
- drooling
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myxedema =
- hypothyroidism
- puffy facial features and dry skin
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Graves disease facial features =
- hyperthyroidism
- eye lid retraction
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cachectic appearance =
- wasting and debility
- anorexia
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what are the cervical nerves
- ooottafagvsh
- olfactory
- optic
- occulomotor
- trochlear
- trigeminal
- abducens
- facial
- auditory
- glossopharyngeal
- vagus
- spinal accessory
- hypoglossal
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what is the 5th cranial nerve and how do you test for it
- Trigeminal
- motor and sensory
- palpate muscles of mastication while teeth are clenched
- try to seperate jaw by pushing down on chin
- light touch on face
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what is 7th cranial nerve and how do you test
- Facial
- motor and sensory
- motor = smile frown close eyes tightly against ressistance, show teeth, puff cheeks,
- sensory = test only if you suspect facial nerve injury (sugar, salt, lemon juice and ask person to identify)
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C7 spinous process is known as the vertebra
prominens
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painless rapidly growing had and fixed lymph nodes are suspicious for
cancer
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bulging eyes associated with hyperthyroidism
exophthalmos
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